护理学报 ›› 2023, Vol. 30 ›› Issue (15): 58-63.doi: 10.16460/j.issn1008-9969.2023.15.058
加速康复外科理念下肺切除术患者围手术期液体管理的最佳证据总结
张洁苹, 项丹玉, 高雯霞, 缪园, 王嵌, 杭琳
- 浙江大学医学院附属第一医院 普胸外科,浙江 杭州 310012
摘要： 目的 检索、评价、整合加速康复外科理念下肺切除术患者围手术期液体管理最佳证据。方法 依据PIPOST模式,按照“6S”证据模型系统检索关于加速康复理念下肺切除手术围手术期液体管理的所有证据,包括指南、专家共识、系统评价、Meta分析等。由4名经过循证培训的研究者独立完成文献质量评价,对符合质量标准的文献进行证据提取并汇总。结果 最终纳入14篇文献,包括4篇指南、3篇专家共识、5篇系统评价、2篇Meta分析,从液体治疗策略、术前液体治疗、术中液体治疗、术后液体治疗、复苏性液体治疗、评估与监测6个方面汇总17条最佳证据。结论 本研究从6个方面总结了加速康复外科理念下肺切除术患者围手术期液体管理最佳证据17条,为临床护理实践提供理论依据,指导临床护士实施液体管理与护理。
中图分类号:
- R473.6
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